Active NPI
Woodrow William Coppedge, M.D.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1952356321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L2853
- Practice address
- 5901 Long Dr
Houston, TX 77087-1003 - Phone
- (713) 970-7000
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L2853 | TX | Primary |
Addresses
Primary practice location
5901 Long Dr
Houston, TX 77087-1003
Mailing address
9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151714603 | Medicaid | TX | |
| 8G7084 | Other | TX | BLUE CROSS BLUE SHIELD |
| 10050535 | Other | TX | AMERIGROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2853 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Psychology Associates, PC | Past | Accepting new patients | |
| Jason D. Baron, M.D., PA | Psychiatry | Past | Accepting new patients |
| Bay Area Psychiatry Group PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Friendswood, TX
- NPI 1225877608
-
- Clinical Neuropsychologist
- Friendswood, TX
- NPI 1700926805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1952356321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407",
"telephone_number": "713-970-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 LONG DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871003",
"telephone_number": "713-970-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPEDGE",
"first_name": "WOODROW",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L2853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151714603",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8G7084",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10050535",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.